ID

19247

Beschrijving

Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster

Trefwoorden

Versies (2)
  1. 13-12-16 13-12-16 -
  2. 15-12-16 15-12-16 -
Geüploaded op

15 december 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Cytostatic Agents Pediatric Hematology and Oncology UK Muenster

Duits Engels

Cytostatic Agents Pediatric Hematology and Oncology UK Muenster

1 Formulieren  
Gewünschte Untersuchung
Beschrijving

Gewünschte Untersuchung

Alias
UMLS CUI-1
C0085421
UMLS CUI-2
C0010858
Asparaginase-Aktivität
Beschrijving

Asparaginase

Datatype

boolean

Alias
UMLS CUI [1]
C0003993
Asparagin (spezielle Aufbereitung)
Beschrijving

Asparagine

Datatype

boolean

Alias
UMLS CUI [1]
C0003995
ATRA, 13-cis retinoid acid, Vit. A
Beschrijving

Vitamin A

Datatype

boolean

Alias
UMLS CUI [1]
C0373745
Busulfan
Beschrijving

Busulfan

Datatype

boolean

Alias
UMLS CUI [1]
C0006463
Cyclophosphamid
Beschrijving

Cyclophosphamide

Datatype

boolean

Alias
UMLS CUI [1]
C0010583
Ifosfamid, Metabolite
Beschrijving

Ifosfamide

Datatype

boolean

Alias
UMLS CUI [1]
C0020823
Trofosfamid, Metabolite
Beschrijving

Trofosfamid

Datatype

boolean

Alias
UMLS CUI [1]
C0077375
Methotrexat
Beschrijving

Methotrexate

Datatype

boolean

Alias
UMLS CUI [1]
C0025677
Taxol
Beschrijving

Taxol

Datatype

boolean

Alias
UMLS CUI [1]
C0144576
Taxotere
Beschrijving

Taxotere

Datatype

boolean

Alias
UMLS CUI [1]
C0699967
Idarubicin
Beschrijving

Idarubicin

Datatype

boolean

Alias
UMLS CUI [1]
C0020789
Doxorubicin
Beschrijving

Doxorubicin

Datatype

boolean

Alias
UMLS CUI [1]
C0013089
Daunorubicin
Beschrijving

Daunorubicin

Datatype

boolean

Alias
UMLS CUI [1]
C0011015
Epirubicin
Beschrijving

Epirubicin

Datatype

boolean

Alias
UMLS CUI [1]
C0014582
Etoposid
Beschrijving

Etoposide

Datatype

boolean

Alias
UMLS CUI [1]
C0015133
Etoposidphosphat
Beschrijving

Etoposidphosphat

Datatype

boolean

Alias
UMLS CUI [1,1]
C0015133
UMLS CUI [1,2]
C0031603
Mercaptopurin
Beschrijving

Mercaptopurine

Datatype

boolean

Alias
UMLS CUI [1]
C0000618
Cisplatin, Carboplatin
Beschrijving

Cisplatin, Carboplatin

Datatype

boolean

Alias
UMLS CUI [1]
C0008838
UMLS CUI [2]
C0079083
Cytarabin Spezialröhrchen !!!
Beschrijving

Cytarabine

Datatype

boolean

Alias
UMLS CUI [1]
C0010711
Ara-CTP in Zellen
Beschrijving

Ara-CTP

Datatype

boolean

Alias
UMLS CUI [1]
C0003676
Asparaginsynthetase in Zellen
Beschrijving

asparaginase synthetase in cells

Datatype

boolean

Alias
UMLS CUI [1,1]
C0003995
UMLS CUI [1,2]
C0023689
Vincristin (bei Intoxikation)
Beschrijving

Vincristine

Datatype

boolean

Alias
UMLS CUI [1]
C0042679
Sonstige (wird evtl. vermittelt)
Beschrijving

other drug monitoring

Datatype

boolean

Alias
UMLS CUI [1]
C0085421
amb.: Überweisungsschein beigefügt
Beschrijving

letter of referral

Datatype

boolean

Alias
UMLS CUI [1]
C1446211
stationär: Klinikstempel
Beschrijving

clinic stamp

Datatype

boolean

Alias
UMLS CUI [1,1]
C0442592
UMLS CUI [1,2]
C1519316
bitte Rechnung
Beschrijving

invoice

Datatype

boolean

Alias
UMLS CUI [1]
C2981733
bitte Fax-Nummer angeben
Beschrijving

Fax number

Datatype

integer

Alias
UMLS CUI [1]
C1549619
I. Angaben zum Patienten
Beschrijving

I. Angaben zum Patienten

Alias
UMLS CUI-1
C1955348
Name
Beschrijving

last name

Datatype

text

Alias
UMLS CUI [1]
C1301584
Vorname
Beschrijving

first name

Datatype

text

Alias
UMLS CUI [1]
C1443235
Geb.-Datum
Beschrijving

date of birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Länge
Beschrijving

Body Height

Datatype

float

Maateenheden
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Gewicht
Beschrijving

Weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
KOF
Beschrijving

Body surface

Datatype

float

Maateenheden
  • mˆ2
Alias
UMLS CUI [1]
C0005902
mˆ2
II. Angaben zur Therapie
Beschrijving

II. Angaben zur Therapie

Alias
UMLS CUI-1
C0087111
Therapieprotokoll
Beschrijving

Therapy protocol

Datatype

text

Alias
UMLS CUI [1]
C0040808
Medikament
Beschrijving

Pharmaceutical Preparations

Datatype

text

Alias
UMLS CUI [1]
C0013227
Verabreichungsform
Beschrijving

medication administration

Datatype

integer

Alias
UMLS CUI [1]
C0013153
Dosis/qm
Beschrijving

medication dose

Datatype

integer

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C1532637
Einheit
Beschrijving

medication dose per qm unit

Datatype

text

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C1532637
UMLS CUI [1,3]
C0869039
Dosis/absolut
Beschrijving

medication dose absolute

Datatype

integer

Alias
UMLS CUI [1]
C3174092
Einheit
Beschrijving

Absolute Medication dose unit

Datatype

text

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0869039
Gabe am
Beschrijving

Treatment Begin Date

Datatype

datetime

Alias
UMLS CUI [1]
C3173309
Gabe bis
Beschrijving

Treatment End Date

Datatype

datetime

Alias
UMLS CUI [1]
C1531784
III. Angaben zur Probe
Beschrijving

III. Angaben zur Probe

Alias
UMLS CUI-1
C0370003
Probenmaterial
Beschrijving

Specimen

Datatype

integer

Alias
UMLS CUI [1]
C0370003
infektiös?
Beschrijving

sample infectious

Datatype

boolean

Alias
UMLS CUI [1]
C0420751
Probenentnahme Datum
Beschrijving

Specimen collection date

Datatype

datetime

Alias
UMLS CUI [1]
C1302413
IV. Fragestellung/Ergänzende Informationen
Beschrijving

IV. Fragestellung/Ergänzende Informationen

Alias
UMLS CUI-1
C0332147
Fragestellung/Ergänzende Informationen
Beschrijving

Question, additional information

Datatype

text

Alias
UMLS CUI [1]
C0332147
V. Ergebnis: (wird vom Labor ausgefüllt)
Beschrijving

V. Ergebnis: (wird vom Labor ausgefüllt)

Alias
UMLS CUI-1
C0456984
Probennr.
Beschrijving

Sample ID

Datatype

integer

Alias
UMLS CUI [1]
C1299222
Wert
Beschrijving

result value

Datatype

float

Alias
UMLS CUI [1]
C2348527
Einheit
Beschrijving

test result unit

Datatype

text

Alias
UMLS CUI [1]
C1519795
Hdz.
Beschrijving

Signature

Datatype

text

Alias
UMLS CUI [1]
C1519316
Terug naar het begin van de pagina

Similar models

Cytostatic Agents Pediatric Hematology and Oncology UK Muenster

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Gewünschte Untersuchung
C0085421 (UMLS CUI-1)
C0010858 (UMLS CUI-2)
Asparaginase
Item
Asparaginase-Aktivität
boolean
C0003993 (UMLS CUI [1])
Asparagine
Item
Asparagin (spezielle Aufbereitung)
boolean
C0003995 (UMLS CUI [1])
Vitamin A
Item
ATRA, 13-cis retinoid acid, Vit. A
boolean
C0373745 (UMLS CUI [1])
Busulfan
Item
Busulfan
boolean
C0006463 (UMLS CUI [1])
Cyclophosphamide
Item
Cyclophosphamid
boolean
C0010583 (UMLS CUI [1])
Ifosfamide
Item
Ifosfamid, Metabolite
boolean
C0020823 (UMLS CUI [1])
Trofosfamid
Item
Trofosfamid, Metabolite
boolean
C0077375 (UMLS CUI [1])
Methotrexate
Item
Methotrexat
boolean
C0025677 (UMLS CUI [1])
Taxol
Item
Taxol
boolean
C0144576 (UMLS CUI [1])
Taxotere
Item
Taxotere
boolean
C0699967 (UMLS CUI [1])
Idarubicin
Item
Idarubicin
boolean
C0020789 (UMLS CUI [1])
Doxorubicin
Item
Doxorubicin
boolean
C0013089 (UMLS CUI [1])
Daunorubicin
Item
Daunorubicin
boolean
C0011015 (UMLS CUI [1])
Epirubicin
Item
Epirubicin
boolean
C0014582 (UMLS CUI [1])
Etoposide
Item
Etoposid
boolean
C0015133 (UMLS CUI [1])
Etoposidphosphat
Item
Etoposidphosphat
boolean
C0015133 (UMLS CUI [1,1])
C0031603 (UMLS CUI [1,2])
Mercaptopurine
Item
Mercaptopurin
boolean
C0000618 (UMLS CUI [1])
Cisplatin, Carboplatin
Item
Cisplatin, Carboplatin
boolean
C0008838 (UMLS CUI [1])
C0079083 (UMLS CUI [2])
Cytarabine
Item
Cytarabin Spezialröhrchen !!!
boolean
C0010711 (UMLS CUI [1])
Ara-CTP
Item
Ara-CTP in Zellen
boolean
C0003676 (UMLS CUI [1])
asparaginase synthetase in cells
Item
Asparaginsynthetase in Zellen
boolean
C0003995 (UMLS CUI [1,1])
C0023689 (UMLS CUI [1,2])
Vincristine
Item
Vincristin (bei Intoxikation)
boolean
C0042679 (UMLS CUI [1])
other drug monitoring
Item
Sonstige (wird evtl. vermittelt)
boolean
C0085421 (UMLS CUI [1])
letter of referral
Item
amb.: Überweisungsschein beigefügt
boolean
C1446211 (UMLS CUI [1])
clinic stamp
Item
stationär: Klinikstempel
boolean
C0442592 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
invoice
Item
bitte Rechnung
boolean
C2981733 (UMLS CUI [1])
Fax number
Item
bitte Fax-Nummer angeben
integer
C1549619 (UMLS CUI [1])
Item Group
I. Angaben zum Patienten
C1955348 (UMLS CUI-1)
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
date of birth
Item
Geb.-Datum
date
C0421451 (UMLS CUI [1])
Body Height
Item
Länge
float
C0005890 (UMLS CUI [1])
Weight
Item
Gewicht
float
C0005910 (UMLS CUI [1])
Body surface
Item
KOF
float
C0005902 (UMLS CUI [1])
Item Group
II. Angaben zur Therapie
C0087111 (UMLS CUI-1)
Therapy protocol
Item
Therapieprotokoll
text
C0040808 (UMLS CUI [1])
Pharmaceutical Preparations
Item
Medikament
text
C0013227 (UMLS CUI [1])
Item
Verabreichungsform
integer
C0013153 (UMLS CUI [1])
medication administration
Code List
Verabreichungsform
CL Item
oral (1)
CL Item
infusion (2)
CL Item
i.m. (3)
medication dose
Item
Dosis/qm
integer
C3174092 (UMLS CUI [1,1])
C1532637 (UMLS CUI [1,2])
medication dose per qm unit
Item
Einheit
text
C3174092 (UMLS CUI [1,1])
C1532637 (UMLS CUI [1,2])
C0869039 (UMLS CUI [1,3])
medication dose absolute
Item
Dosis/absolut
integer
C3174092 (UMLS CUI [1])
Absolute Medication dose unit
Item
Einheit
text
C3174092 (UMLS CUI [1,1])
C0869039 (UMLS CUI [1,2])
Treatment Begin Date
Item
Gabe am
datetime
C3173309 (UMLS CUI [1])
Treatment End Date
Item
Gabe bis
datetime
C1531784 (UMLS CUI [1])
Item Group
III. Angaben zur Probe
C0370003 (UMLS CUI-1)
Item
Probenmaterial
integer
C0370003 (UMLS CUI [1])
Specimen
Code List
Probenmaterial
CL Item
Serum  (1)
CL Item
Plasma  (2)
CL Item
Vollblut  (3)
CL Item
kapillär (4)
CL Item
peripher venös (5)
CL Item
aus liegend. Zugang  (6)
CL Item
Liquor (7)
CL Item
Urin  (8)
CL Item
Speichel (9)
CL Item
Knochenmark (10)
sample infectious
Item
infektiös?
boolean
C0420751 (UMLS CUI [1])
Specimen collection date
Item
Probenentnahme Datum
datetime
C1302413 (UMLS CUI [1])
Item Group
IV. Fragestellung/Ergänzende Informationen
C0332147 (UMLS CUI-1)
Question, additional information
Item
Fragestellung/Ergänzende Informationen
text
C0332147 (UMLS CUI [1])
Item Group
V. Ergebnis: (wird vom Labor ausgefüllt)
C0456984 (UMLS CUI-1)
Sample ID
Item
Probennr.
integer
C1299222 (UMLS CUI [1])
result value
Item
Wert
float
C2348527 (UMLS CUI [1])
test result unit
Item
Einheit
text
C1519795 (UMLS CUI [1])
Signature
Item
Hdz.
text
C1519316 (UMLS CUI [1])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial